Reliability of Korean Triage and Acuity Scale-based Triage System as a Severity Index in Emergency Patients
Journal of the Korean Society of Emergency Medicine
;
: 552-556, 2017.
Article
in Korean
| WPRIM
| ID: wpr-13290
ABSTRACT
PURPOSE:
Triage is an important process in a hospital emergency department (ED). The Korean Triage and Acuity Scale (KTAS)-based triage system was developed for use in Korean EDs as a triage tool. Nevertheless, there is limited evidence of its reliability in KTAS. This study assessed the KTAS reliability by comparing skilled nurses and poly-clinic students.METHODS:
This study was a prospective study. All adult patients over the age of 15 years who visited the ED during the study period were included. The patients were triaged independently by a primary triage nurse and poly-clinic student using KTAS, and their scores were compared.RESULTS:
A total of 168 patients were enrolled in this study. In the nurse group, 3%, 8.9%, 45.8%, 38.1%, and 4.2% were assigned to levels 1,2,3,4, and 5, respectively. In the poly-clinic group, 3.6%, 10.7%, 43.5%, 33.9%, and 8.3% were assigned to levels 1,2,3,4, and 5, respectively. The percentage of each level using KTAS was similar. Using the interrater agreement, the weighted Kappa was 0.721 (95% confidence interval, 0.215 to 1.000).CONCLUSION:
KTAS appears to be a good tool for triaging patients according to the severity, and it is helpful to order the priority for utilization in a Korean ED.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Severity of Illness Index
/
Prospective Studies
/
Triage
/
Emergencies
/
Emergency Service, Hospital
Type of study:
Observational study
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2017
Type:
Article
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